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HC:N3a (IM8) , <br />HENNEPIN COUNTY <br />Transportation Department <br />1600 Prairie Drive - Medina, MN 55340-5421 Permit No. <br />C NUh) -b 6 C PILL <br />DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS <br />Field inspected by ''a; r4 i %'! 't' ,,r., +.may Date' <br />,�?y;'i s �.'j rK' ng ;}" :: tint' <br />Location _ u � � �-- yo �- � � Speed zone <br />Nearest Cross Street (if rural) <br />NIA <br />A•. <br />A. D.T. <br />Sight distance: Actual - Left Right <br />Minimum - Left <br />Curb to be removed to: ❑ Construction Joint ❑ Sawed Joint <br />Recommended drainage: b Surface ❑ Culvert Culvert length <br />1. CONSTRUCTION SPECIFICATIONS (Within Right -of -Way) <br />Right <br />Culvert diameter <br />BASE SURFACE CURB SIDEWALK SHOULDER BLVD - DITCH <br />Type-L' „. ;`� ; _ Type 2341;+' ' Type Type type Topsoil e <br />Depth 4" .tiro Depth 2" AIR Design Depth Depth` Depth <br />2. TRAFFIC CONTROL REQUIREMENTS <br />FlIate k or $4 as mHxw <br />3. SPECIAL PROVISIONS <br />U ne ,,> # vste d r i veway a nh a.wowt permi t~t*d as dr a v r: . <br />i <br />R/W IMPORTANT: <br />DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN <br />PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL (612) 746-7643. <br />Diagram A <br />TYPE "a" CONSTRUCT ROUNDED BERM TO <br />PREVENT WATER FROM RUNNING DOWN <br />Final inspection date <br />Driveway was found to be ❑ Satisfactory <br />❑ Unsatisfactory <br />I <br />C/L IMPORTANT: <br />APPROVED/®ENFE@: <br />HENNEPIN COUNTY <br />Transportation Dept. <br />Diagram B <br />CONSTRUCT SWALE TO DIVERT WATER FROM RIW <br />SHOULDER. <br />Place culvert in existing ditch <br />Inspected by <br />By <br />Date <br />